Individual
DR. LARA RENEE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1800 NORTHSIDE FORSYTH DR, STE. 260, CUMMING, GA 30041-8447
(770) 255-2555
Mailing address
1800 NORTHSIDE FORSYTH DR, STE. 260, CUMMING, GA 30041-8447
(770) 255-2555
(770) 889-0111
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
67638
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003123182B
—
GA
Enumeration date
04/04/2008
Last updated
05/11/2015
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